NPI | 1417335928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA LMFT147266) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106H00000X Marriage & Family Therapist (Licence: CA AMFT124666) | |
Enumeration Date | 2015-05-16 |
Last Update Date | 2024-06-11 |